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Extracorporeal membrane oxygenation for adult respiratory failure.

Publication ,  Journal Article
Turner, DA; Cheifetz, IM
Published in: Respir Care
June 2013

Extracorporeal membrane oxygenation (ECMO) is a form of cardiopulmonary bypass that is a mainstay of therapy in neonatal and pediatric patients with life threatening respiratory and/or cardiac failure. Historically, the use of ECMO in adults has been limited, but recent reports and technological advances have increased utilization and interest in this technology in adult patients with severe respiratory failure. As ECMO is considered in this critically ill population, patient selection, indications, contraindications, comorbidities, and pre-ECMO support are all important considerations. Once the decision is made to cannulate a patient for ECMO, meticulous multi-organ-system management is required, with a priority being placed on lung rest and minimization of ventilator-induced lung injury. Close monitoring is also necessary for complications, some of which are related to ECMO and others secondary to the patient's underlying degree of illness. Despite the risks, reports demonstrate survival > 70% in some circumstances for patients requiring ECMO for refractory respiratory failure. As the utilization of ECMO in adult patients with respiratory failure continues to expand, ongoing discussion and investigation are needed to determine whether ECMO should remain a "rescue" therapy or if earlier ECMO may be beneficial as a lung-protective strategy.

Duke Scholars

Published In

Respir Care

DOI

EISSN

1943-3654

Publication Date

June 2013

Volume

58

Issue

6

Start / End Page

1038 / 1052

Location

United States

Related Subject Headings

  • Respiratory System
  • Respiratory Insufficiency
  • Patient Selection
  • Humans
  • Extracorporeal Membrane Oxygenation
  • Adult
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1103 Clinical Sciences
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Turner, D. A., & Cheifetz, I. M. (2013). Extracorporeal membrane oxygenation for adult respiratory failure. Respir Care, 58(6), 1038–1052. https://doi.org/10.4187/respcare.02255
Turner, David A., and Ira M. Cheifetz. “Extracorporeal membrane oxygenation for adult respiratory failure.Respir Care 58, no. 6 (June 2013): 1038–52. https://doi.org/10.4187/respcare.02255.
Turner DA, Cheifetz IM. Extracorporeal membrane oxygenation for adult respiratory failure. Respir Care. 2013 Jun;58(6):1038–52.
Turner, David A., and Ira M. Cheifetz. “Extracorporeal membrane oxygenation for adult respiratory failure.Respir Care, vol. 58, no. 6, June 2013, pp. 1038–52. Pubmed, doi:10.4187/respcare.02255.
Turner DA, Cheifetz IM. Extracorporeal membrane oxygenation for adult respiratory failure. Respir Care. 2013 Jun;58(6):1038–1052.

Published In

Respir Care

DOI

EISSN

1943-3654

Publication Date

June 2013

Volume

58

Issue

6

Start / End Page

1038 / 1052

Location

United States

Related Subject Headings

  • Respiratory System
  • Respiratory Insufficiency
  • Patient Selection
  • Humans
  • Extracorporeal Membrane Oxygenation
  • Adult
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1103 Clinical Sciences
  • 1102 Cardiorespiratory Medicine and Haematology